Marissa T. Ayasse, BS, Jocellie E. Marquez, MD, MBA, Daniel F. Lozeau, MD, Jordan B. Slutsky, MD, Tara L. Kaufmann, MD, Yoojin Lee, MD, Richard J. Scriven, MD, and Alexander B. Dagum, MD in this study aim to assess the general dermatological needs and correlation of tentative skin cancer screening diagnoses with histopathological confirmation in the highly sun-exposed locals of the Galapagos Islands.